BKAT ICU POST TEST COMPLETE QUESTIONS AND CORRECT
VERIFIED ANSWERS(DETAILED ANSWERS)|ALREADY
GRADED A+
A patient arrives in the PACU AAO, but with difficulty breathing. They received single dose
succinylcholine in the OR.Recovery would be expected in how many minutes?
A. 15
B. 20
C. 35.
D. 40 - CORRECT ANSWERS-
Which is correct regarding post operative shivering?
A. Increased O2 consumption, increased ventilatory requirements
B. Decreased O2 consumption, increased ventilatory requirements
C. Minor mechanism of heat production, prolonged PACU Phase 1 time
D. Need for close monitoring for hypotension and diffuse muscle aches - CORRECT ANSWERS-A.
Increased O2 consumption, increased ventilatory requirements
The perianesthesia nurse is aware that a main focus for pre admission assessment is to:
A. Evaluate fitness for anesthesia and surgery
B. Reduce the mortality and morbidity rate
C. Establish the necessity of the procedure
D. Order laboratory and other diagnostic tests - CORRECT ANSWERS-B. Reduce the mortality and
morbidity rate
To lessen vertigo, n/v immediately following tympanoplasty the perianesthesia nurse would place the
patient in which optimal position?
A. Semi fowlers @ 45 degrees
B. Lateral on the operated side
C. Position of comfort
D. Lateral on the unoperated side - CORRECT ANSWERS-D. Lateral on the unoperated side
,When caring for a diabetic patient, the major objective of the perianesthesia nurse is to prevent:
A. Fluid volume excess
B. fluid volume deficit
C. Hyperglycemia
D. Hypoglycemia - CORRECT ANSWERS-D. Hypoglycemia
A pt. is admitted to the PACU after receiving anesthesia. The pt. is tachypneic, has muscle rigidity,
tachycardia and dysrhythmia. The perianesthesia nurse suspects:
A. neuroleptic malignant syndrome
B. post operative hemorrhage
C. hypoxic brain damage
D. malignant hyperthermia - CORRECT ANSWERS-D. malignant hyperthermia
The pt. arrives in the PACU post stapedectomy, complaining vertigo. The perianesthesia nurse notes that
the pt.has packing retained within the ear. The perianesthesia nurse:
A. does not disturb the packing
B. adviseds the pt to cough
C. advises the pt to blow nose
D. removes the packing - CORRECT ANSWERS-A. does not disturb the packing
A 70 year old pt is admitted following moderate IV sedation with morphine and midazolam. The pits
unresponsive and the skin is cool and diaphoretic.VS are 95/60, 50, RR 8 and SpO2 88%on RA. Following
O2 administration, no improvement is noted. The nurse anticipates administering:
A. atropine 0.5mg to 1.0mg
B. naloxone 0.1mg to 0.2mg
C. naloxone 0.6mg to 2.0mg
D. atropine 1.5mg to 2.0mg - CORRECT ANSWERS-B. naloxone 0.1mg to 0.2mg
Following a rhytidectomy, one of the earliest indications of complications is:
, A. severe unilateral pain
B. ptosis with periorbital edema
C. a positive Chvostek's sign
D. discoloration of facial tissue - CORRECT ANSWERS-A. severe unilateral pain
What risk factors woulda let the perianesthesia nurse of a patients decreased chance of PONV?
A. Use of opioids, length of procedure
B. Female, non smoker, use of opioids
C. Male smoker, history of motion sickness
D. Female hypertension, history of PONV - CORRECT ANSWERS-B. Female, non smoker, use of opioids
When developing a plan of care for an autistic patient in the preoperative setting, the best way for the
nurse to communicate would be to :
A. avoid consistent eye contact
B. communicate only to the caregiver
C. communicate directly with detail
D. maintain eye contact and speak slowly - CORRECT ANSWERS-A. avoid consistent eye contact
Its. requiring walker for home should have them adjusted so that their elbows are bent:
A. 10 degrees
B. 15 degrees
C. 20-30 degrees
D. 45-50 degrees - CORRECT ANSWERS-C. 20-30 degrees
Following implantation of a cardiac defibrillator, discharge instructions should include:
A. placing a magnet over the device once a day
B. limiting the arm movement on the affected side
C. discontinuation of antidysrhythmic medication
VERIFIED ANSWERS(DETAILED ANSWERS)|ALREADY
GRADED A+
A patient arrives in the PACU AAO, but with difficulty breathing. They received single dose
succinylcholine in the OR.Recovery would be expected in how many minutes?
A. 15
B. 20
C. 35.
D. 40 - CORRECT ANSWERS-
Which is correct regarding post operative shivering?
A. Increased O2 consumption, increased ventilatory requirements
B. Decreased O2 consumption, increased ventilatory requirements
C. Minor mechanism of heat production, prolonged PACU Phase 1 time
D. Need for close monitoring for hypotension and diffuse muscle aches - CORRECT ANSWERS-A.
Increased O2 consumption, increased ventilatory requirements
The perianesthesia nurse is aware that a main focus for pre admission assessment is to:
A. Evaluate fitness for anesthesia and surgery
B. Reduce the mortality and morbidity rate
C. Establish the necessity of the procedure
D. Order laboratory and other diagnostic tests - CORRECT ANSWERS-B. Reduce the mortality and
morbidity rate
To lessen vertigo, n/v immediately following tympanoplasty the perianesthesia nurse would place the
patient in which optimal position?
A. Semi fowlers @ 45 degrees
B. Lateral on the operated side
C. Position of comfort
D. Lateral on the unoperated side - CORRECT ANSWERS-D. Lateral on the unoperated side
,When caring for a diabetic patient, the major objective of the perianesthesia nurse is to prevent:
A. Fluid volume excess
B. fluid volume deficit
C. Hyperglycemia
D. Hypoglycemia - CORRECT ANSWERS-D. Hypoglycemia
A pt. is admitted to the PACU after receiving anesthesia. The pt. is tachypneic, has muscle rigidity,
tachycardia and dysrhythmia. The perianesthesia nurse suspects:
A. neuroleptic malignant syndrome
B. post operative hemorrhage
C. hypoxic brain damage
D. malignant hyperthermia - CORRECT ANSWERS-D. malignant hyperthermia
The pt. arrives in the PACU post stapedectomy, complaining vertigo. The perianesthesia nurse notes that
the pt.has packing retained within the ear. The perianesthesia nurse:
A. does not disturb the packing
B. adviseds the pt to cough
C. advises the pt to blow nose
D. removes the packing - CORRECT ANSWERS-A. does not disturb the packing
A 70 year old pt is admitted following moderate IV sedation with morphine and midazolam. The pits
unresponsive and the skin is cool and diaphoretic.VS are 95/60, 50, RR 8 and SpO2 88%on RA. Following
O2 administration, no improvement is noted. The nurse anticipates administering:
A. atropine 0.5mg to 1.0mg
B. naloxone 0.1mg to 0.2mg
C. naloxone 0.6mg to 2.0mg
D. atropine 1.5mg to 2.0mg - CORRECT ANSWERS-B. naloxone 0.1mg to 0.2mg
Following a rhytidectomy, one of the earliest indications of complications is:
, A. severe unilateral pain
B. ptosis with periorbital edema
C. a positive Chvostek's sign
D. discoloration of facial tissue - CORRECT ANSWERS-A. severe unilateral pain
What risk factors woulda let the perianesthesia nurse of a patients decreased chance of PONV?
A. Use of opioids, length of procedure
B. Female, non smoker, use of opioids
C. Male smoker, history of motion sickness
D. Female hypertension, history of PONV - CORRECT ANSWERS-B. Female, non smoker, use of opioids
When developing a plan of care for an autistic patient in the preoperative setting, the best way for the
nurse to communicate would be to :
A. avoid consistent eye contact
B. communicate only to the caregiver
C. communicate directly with detail
D. maintain eye contact and speak slowly - CORRECT ANSWERS-A. avoid consistent eye contact
Its. requiring walker for home should have them adjusted so that their elbows are bent:
A. 10 degrees
B. 15 degrees
C. 20-30 degrees
D. 45-50 degrees - CORRECT ANSWERS-C. 20-30 degrees
Following implantation of a cardiac defibrillator, discharge instructions should include:
A. placing a magnet over the device once a day
B. limiting the arm movement on the affected side
C. discontinuation of antidysrhythmic medication
